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BOLTON FORD DENTAL, VISION AND LIFE PLAN 401k Plan overview

Plan NameBOLTON FORD DENTAL, VISION AND LIFE PLAN
Plan identification number 501

BOLTON FORD DENTAL, VISION AND LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BOLTON FORD, LLC has sponsored the creation of one or more 401k plans.

Company Name:BOLTON FORD, LLC
Employer identification number (EIN):720796878
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOLTON FORD DENTAL, VISION AND LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-05-01JORDAN LELEUX2024-10-15
5012022-05-01JORDAN LELEUX2024-04-12
5012021-05-01JORDAN LELEUX2024-04-12

Plan Statistics for BOLTON FORD DENTAL, VISION AND LIFE PLAN

401k plan membership statisitcs for BOLTON FORD DENTAL, VISION AND LIFE PLAN

Measure Date Value
2023: BOLTON FORD DENTAL, VISION AND LIFE PLAN 2023 401k membership
Total participants, beginning-of-year2023-05-01183
Total number of active participants reported on line 7a of the Form 55002023-05-01194
Number of retired or separated participants receiving benefits2023-05-010
Number of other retired or separated participants entitled to future benefits2023-05-010
Total of all active and inactive participants2023-05-01194
Number of employers contributing to the scheme2023-05-010
2022: BOLTON FORD DENTAL, VISION AND LIFE PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01145
Total number of active participants reported on line 7a of the Form 55002022-05-01183
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01183
Number of employers contributing to the scheme2022-05-010
2021: BOLTON FORD DENTAL, VISION AND LIFE PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01100
Total number of active participants reported on line 7a of the Form 55002021-05-01145
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01145
Number of employers contributing to the scheme2021-05-010

Form 5500 Responses for BOLTON FORD DENTAL, VISION AND LIFE PLAN

2023: BOLTON FORD DENTAL, VISION AND LIFE PLAN 2023 form 5500 responses
2023-05-01Type of plan entitySingle employer plan
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan benefit arrangement – InsuranceYes
2022: BOLTON FORD DENTAL, VISION AND LIFE PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: BOLTON FORD DENTAL, VISION AND LIFE PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01First time form 5500 has been submittedYes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1140359
Policy instance 1
Insurance contract or identification number1140359
Number of Individuals Covered303
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $17,767
Total amount of fees paid to insurance companyUSD $1,774
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $156,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1140359
Policy instance 1
Insurance contract or identification number1140359
Number of Individuals Covered296
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $18,988
Total amount of fees paid to insurance companyUSD $806
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $101,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,974
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1140359
Policy instance 1
Insurance contract or identification number1140359
Number of Individuals Covered229
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $17,511
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $91,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,684
Amount paid for insurance broker fees0
Insurance broker organization code?3

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